Proforma for Evaluators
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Transcript of Proforma for Evaluators
Proforma for Empanelling Experts as Evaluators
INDIRA GANDHI NATIONAL OPEN UNIVERSITY
1. Name Mr./ Ms. / Dr. ............................................................... Designation......................................................
2. Official Address ................................................................................................................................................. ........................................................................................................................................Pin ................................
3. Residential / Postal Address ............................................................................................................................. ........................................................................................................................................Pin.................................
4. Contact No. with STD code (R) .................................. (O) ................................... (M) ..................................Fax ………………………..……….E-mail .......................................................................................................
5. Qualification (Kindly attach the relevant documents) Subject at P.G. Level ............................................................
Area of Specialisation …....................................................Ph.D. Area ..............................................................
6. Teaching Experience a. Under Graduate Level
Courses Taught Name of the College / University Department
Years ofExperience
b. Post Graduate LevelCourses Taught Name of the College / University
DepartmentYears ofExperience
7. Mention your choice of course(s) for evaluation Program
Course(s)
8. If you have counselled and evaluated TMAs of IGNOU or other ODL students, please mention the relevant programme and course(s) and experience (in years) of evaluating it.
S. No. Programme Course No. of Years
9. Language Efficacy for Evaluation (English, Hindi, any other Regional Language(s). You can give as many number of choices) ..........................................................................................................................................
10. Are you currently enrolled as a student of IGNOU ? Yes No If yes, please specify the Programme(s) ……………………………………………………………………
Date ................................. (Signature)Recommendation of the IGNOU School / Centre
Recommended as …..…..…………… for the course(s) .....................................................................................
Date .................................... (Director / Faculty Signature)